Measuring activity levels associated with rehabilitative care in hospitalized older adults

Colleen M. Casey; Jill A. Bennett; Kerri Winters-Stone; George J. Knafl; Heather M. Young

doi:10.1016/j.gerinurse.2014.02.014

Measuring activity levels associated with rehabilitative care in hospitalized older adults

Colleen M. Casey
, Jill A. Bennett
, Kerri Winters-Stone
, George J. Knafl
, Heather M. Young

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Older adults often experience functional losses during hospitalization. Clinical care activities have been increasingly promoted as a way to help older hospitalized patients offset these losses and recover from acute illness. Little research exists to objectively measure clinical care activities. This study evaluated the utility and feasibility of using the Actiheart™, a combined heart rate monitor and accelerometer, to measure heart rate and motion (activity counts) during five clinical care activities. Fifty-four adults, aged 65 and older, scheduled for surgery, participated in a simulation of activities. The Actiheart™ successfully measured motion and heart rate during each of the five activities. One-way repeated measures analyses of variance showed that the Actiheart™ discriminated significant differences within and across the five activities. This study supports the use of an activity monitor to quantify clinical care activities in research studies that can be translated into clinical care. However, the complexity associated with data collection and analysis using the Actiheart™ could limit its direct use in clinical research.

Original language	English (US)
Pages (from-to)	S3-S10
Journal	Geriatric Nursing
Volume	35
Issue number	2S
DOIs	https://doi.org/10.1016/j.gerinurse.2014.02.014
State	Published - 2014

Funding

We thank the subjects who participated in this study. This research was funded by the National Institutes of Health (NIH) , National Institute of Nursing Research Individual National Research Service Award , as well as the John A. Hartford Foundation (JAHF) Building Academic Geriatric Nursing Capacity Predoctoral Scholarship . This publication was supported by the University of Maryland Online Dissemination and Implementation Institute funded by the University of Maryland/JAHF and the Oregon Clinical and Translational Research Institute (OCTRI) , grant number ( UL1TR000128 ) from the National Center for Advancing Translational Sciences (NCATS) at the National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Funders	Funder number
Building Academic Geriatric Nursing Capacity Predoctoral Scholarship
University of Maryland/JAHF
Author National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health The Bev Hartig Huntington's Disease Foundation National Institutes of Health
National Institute of Nursing Research
John A. Hartford Foundation
National Center for Advancing Translational Sciences	UL1TR000128
Oregon Clinical and Translational Research Institute
Department of Psychology, Maryland Neuroimaging Center, University of Maryland

Keywords

Accelerometry
Activity Monitoring
Hospitalization
Inactivity
Older Adults

ASJC Scopus subject areas

Gerontology

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10.1016/j.gerinurse.2014.02.014

Cite this

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title = "Measuring activity levels associated with rehabilitative care in hospitalized older adults",

abstract = "Older adults often experience functional losses during hospitalization. Clinical care activities have been increasingly promoted as a way to help older hospitalized patients offset these losses and recover from acute illness. Little research exists to objectively measure clinical care activities. This study evaluated the utility and feasibility of using the Actiheart{\texttrademark}, a combined heart rate monitor and accelerometer, to measure heart rate and motion (activity counts) during five clinical care activities. Fifty-four adults, aged 65 and older, scheduled for surgery, participated in a simulation of activities. The Actiheart{\texttrademark} successfully measured motion and heart rate during each of the five activities. One-way repeated measures analyses of variance showed that the Actiheart{\texttrademark} discriminated significant differences within and across the five activities. This study supports the use of an activity monitor to quantify clinical care activities in research studies that can be translated into clinical care. However, the complexity associated with data collection and analysis using the Actiheart{\texttrademark} could limit its direct use in clinical research.",

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Measuring activity levels associated with rehabilitative care in hospitalized older adults

Abstract

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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